Organization Active NPI

Precise Surgical LLC

  • Surgery Physician
  • Lone Tree, CO
National Provider Identifier
1164299947
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
PRECISE SURGICAL LLC
Practice address
10103 Ridgegate Pkwy Ste 207
Lone Tree, CO 80124-5525
Phone
(720) 471-8710
NPI assigned
Dec 11, 2023
Last updated
Dec 11, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Peter Phan, MDNPI 1851564462
Title
Sole Member
Phone
(720) 471-8710

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X Primary

Addresses

Primary practice location

10103 Ridgegate Pkwy Ste 207
Lone Tree, CO 80124-5525

Mailing address

10103 Ridgegate Pkwy Ste 207
Lone Tree, CO 80124-5525

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1702252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702252800000",
    "number": "1164299947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10103 RIDGEGATE PKWY STE 207",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10103 RIDGEGATE PKWY STE 207",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245525",
            "telephone_number": "720-471-8710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISE SURGICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-11",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A",
        "authorized_official_last_name": "PHAN",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "720-471-8710",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lone Tree, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.